Proposed Form OP-1MX - Federal Motor Carrier Safety ...

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SPECIFIC INSTRUCTIONS FOR COMPLETING EACH SECTION OF THE APPLICATION FORM SECTION IV - INSURANCE INFORMATION Check the appropriate box(es) that describes the type(s) of business applicant will be conducting. If applicant is applying for motor property carrier registration and operates vehicles with a gross vehicle weight rating of 10,000 pounds or more and hauls only non-hazardous materials, applicant must maintain $750,000 minimum liability coverage for the protection of the public. Hazardous materials referred to in the FMCSA’s insurance regulations in item (c) of the table at 49 CFR 387.303 (b)(2) require $1 million minimum liability coverage; those in item (b) of the table at 49 CFR 387.303 (b)(2) require $5 million minimum liability coverage. If applicant operates only vehicles with a gross vehicle weight rating under 10,000 pounds, applicant must maintain $300,000 minimum liability coverage. If applicant operates only such vehicles but will be transporting any quantity of Division 1.1, 1.2 or 1.3 explosives; any quantity of poison gas (Division 2.3, Hazard Zone A, or Division 6.1, Packing Group 1, Hazard Zone A materials); or highway route controlled quantity of radioactive materials, applicant must maintain $5 million minimum liability coverage. The FMCSA does not furnish copies of insurance forms. Applicant must contact its insurance company to obtain all required insurance forms. Applicant does not have to submit evidence of insurance with the application. If applicant is issued a Certificate of Registration, the following must be on each of its vehicles when crossing the border: o a current DOT Form MCS-90, and o evidence of insurance. The evidence of insurance must show either trip insurance coverage (24 hours or more coverage), or evidence of continuing insurance. SECTION V - SAFETY CERTIFICATIONS Applicants for motor carrier registration must complete the safety certifications. Applicant should check the “YES” response only if it can attest to the truth of the statements. The carrier official’s signature at the end of this section applies to the Safety Certifications. The “Applicant’s Oath” at the end of the application form applies to all certifications. False certifications are subject to the penalties described in that oath. Form OP-2 Revised March 2002 50
SPECIFIC INSTRUCTIONS FOR COMPLETING EACH SECTION OF THE APPLICATION FORM If applicant is exempt from the U.S. DOT safety fitness regulations because applicant operates only vehicles with a gross vehicle weight rating under 10,001 pounds, and it will not transport any hazardous materials, applicant must certify that it is familiar with and will observe general operational safety fitness guidelines and applicable State, local and tribal laws relating to the safe operation of commercial vehicles. Applicants should complete all applicable Attachment pages and, if necessary to complete the responses, attach additional pages referring to the appropriate Sections and items in the application or Attachment pages. If applicant is exempt from the U.S. DOT safety fitness regulations, applicant must complete all relevant attachment pages to demonstrate its willingness and ability to comply with general operational safety fitness guidelines and applicable State, local and tribal laws. SECTION VI - HOUSEHOLD GOODS ARBITRATION CERTIFICATIONS For-hire carriers of property operating entirely in commercial zone areas that intend to transport household goods as defined in 49 U.S.C. 13102 (10) must certify their agreement to offer arbitration as a means of settling loss and damage claims as a condition of registration. The signature should be that of the same company official who completes the Applicant’s Oath. SECTION VII - COMPLIANCE CERTIFICATIONS All applicants are required to certify accurately to their willingness and ability to comply with statutory and regulatory requirements, to their tax payment status, and to their understanding that their agent for service of process is their official representative in the U.S. to receive filings and notices in connection with enforcement of any Federal statutes and regulations. Applicants are required to certify their willingness to produce records for the purpose of determining compliance with the applicable safety regulations of the FMCSA. Applicants are required to certify that they are not now disqualified from operating a commercial motor vehicle in the U.S. pursuant to the Motor Carrier Safety Improvement Act of 1999. Form OP-2 Revised March 2002 51
Page 1 and 2: U.S. Department of Transportation F
Page 3 and 4: • Use the attachment pages includ
Page 5 and 6: SPECIFIC INSTRUCTIONS FOR COMPLETIN
Page 7: SPECIFIC INSTRUCTIONS FOR COMPLETIN
Page 11 and 12: SPECIFIC INSTRUCTIONS FOR COMPLETIN
Page 13 and 14: U.S. Department of Transportation F
Page 15 and 16: FORM OF BUSINESS (Check one) ? CORP
Page 17 and 18: 4. Does the applicant hold a Federa
Page 19 and 20: SECTION IV - INSURANCE INFORMATION
Page 21 and 22: Mexican safety regulations, and a d
Page 23 and 24: The carrier will ensure, once opera
Page 25 and 26: 7A. For Cargo Tank (CT) Carriers (o
Page 27 and 28: ATTACHMENT FOR SECTION V, NO. 1, DR
Page 29 and 30: ATTACHMENT FOR SECTION V, NO. 3, DR
Page 31 and 32: Form OP-2 Revised March 2002 ATTACH
Page 33 and 34: ATTACHMENT FOR SECTION V, NO. 6, PR
Page 35 and 36: Form OP-2 Revised March 2002 ATTACH
Page 37 and 38: Applicant is not prohibited from fi
Page 39: FILING FEE INFORMATION All applican

Proposed Form OP-1MX - Federal Motor Carrier Safety ...

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